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Lower Limb Neuro

Proximal Functional Assessment

February 15th, 2021

Squat Test

  • How to Perform

  • Ask the patient to squat, and then stand from squatting.
  • Significance

  • Inability to squat then stand is suggestive of significant proximal weakness, either due to neurologic disease or proximal myopathy.

Trendelenburg Test

  • How to Perform

  • Support the patient by holding onto their hands, and then ask them to lift one leg off the ground.
  • Abnormal If

  • The hip on the non-weightbearing side falls, as the patient is unable to elevate their hip.
  • Significance

  • Suggests proximal myopathy, causing hip abductor (gluteus medius / minimus) weakness.
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